| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.52 | $145.16 | $240.89 | |
Anthem BCBS
| Professional | $64.39 | $114.56 | $218.30 | |
CareSource
| Professional | $147.08 | $147.08 | $155.66 | |
Cigna
| Professional | $110.55 | $161.53 | $259.95 | |
Medical Mutual of Ohio
| Professional | $111.40 | $170.81 | $262.61 | |
Molina
| Professional | $95.76 | $133.64 | $194.44 | |
United
| Professional | $110.48 | $160.44 | $272.74 |